Professional Coding Consultant, Educator

This is a fully remote position, open to applicants in Louisiana.

📋 Description

• Lead, oversee, and engage in projects focused on coding integrity, which includes specialty-specific coding education, audits, research, financial analysis, and education.

• Manage various aspects of projects and provide education to executive leadership and physicians.

• Evaluate and implement training and quality assurance requirements related to the projects.

• Assist physicians, coders, and leadership in accurately assigning codes.

• Develop methods for ongoing oversight and compliance in coding.

• Educate physicians regarding policy updates and opportunities in coding/documentation.

• Train billing staff across all regions on policy changes.

• Support the HIM/Coding Management team with functions related to coding compliance.

• Supervise coding consulting projects and provide accurate, timely recommendations.

• Oversee, mentor, evaluate, and guide employees to ensure competency and adherence to regulatory standards.

• Audit and train coders to maintain coding consistency across all regions.

• Interpret CMS/coding policies and provide education to physicians and coding and education staff.

• Train new employees and interns.

• Create metrics to track and monitor initiatives for coding improvement.

• Consult with physicians.

• Tailor communication and service explanations to cater to specific patient populations.

• Stay informed about relevant laws, accreditation standards, and regulatory requirements.

• Perform additional related duties as necessary.

⛳️ Requirements

• High School diploma or equivalent.

• 5 years of relevant clinical experience (nursing or allied health) OR coding experience with Medicare and Managed Care Reimbursement, patient accounting/billing background, and Managed Care contractual arrangements, OR 3 years with a Bachelor's degree.

• Certification in Coding is required (CCS-P, CCS), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Coding Specialist-Physician based (CCS-P), or Certified Coding Specialist (CCS).

• Computer skills and dexterity are necessary for data entry and information retrieval.

• Knowledge of Cardiology, Cardiovascular, and Nephrology Coding is preferred.

• Strong verbal and written communication skills.

• Proficiency with Windows-style applications, specific software packages, and keyboard skills.

• Ability to prepare and present findings and results to a variety of audiences.

• Experience in planning, coordinating, and reviewing projects that involve complex business and technical issues.

• Strong analytical and operational problem-solving skills.

• Excellent time management skills with the ability to prioritize, organize, and manage multiple assignments under varying conditions.

• Capability to resolve issues at the lowest level while knowing when to escalate or adjust priorities.

• Proficiency in applying accounting principles and/or federal and state regulations to daily decision-making.

• Ability to work 8–10 hour days, including potential evening, weekend, and holiday shifts during peak periods.

• Willingness to travel long distances for continuing education and visits to satellite sites.

• Ability to travel between and throughout facilities.

• Flexibility to work a varied schedule, including weekends and holidays.

• Capability to perform sedentary work and lift, carry, push, or pull up to 10 pounds.

• Must adhere to applicable laws, accreditation standards, regulatory requirements, and the employer’s Compliance & Privacy Program.

🏝️ Benefits

• Equal Opportunity Employer.

• Reasonable accommodations provided for qualified individuals with disabilities.

• Support for accessibility and application-process accommodations.